Heart Health Education Centre, University of Ottawa Heart Institute, Ontario.
Can Fam Physician. 2011 Jun;57(6):e202-7.
A well documented gap remains between evidence and practice for clinical practice guidelines in cardiovascular disease (CVD) care.
As part of the Champlain CVD Prevention Strategy, practitioners in the Champlain District of Ontario launched a large quality-improvement initiative that focused on increasing the uptake in primary care practice settings of clinical guidelines for heart disease, stroke, diabetes, and CVD risk factors.
The Champlain Primary Care CVD Prevention and Management Guideline is a desktop resource for primary care clinicians working in the Champlain District. The guideline was developed by more than 45 local experts to summarize the latest evidence-based strategies for CVD prevention and management, as well as to increase awareness of local community-based programs and services.
Evidence suggests that tailored strategies are important when implementing specific practice guidelines. This article describes the process of creating an integrated clinical guideline for improvement in the delivery of cardiovascular care.
心血管疾病 (CVD) 护理的临床实践指南在证据和实践之间存在明显差距。
作为尚普兰 CVD 预防策略的一部分，安大略省尚普兰地区的从业者发起了一项大型质量改进计划，该计划侧重于提高初级保健实践环境中心脏病、中风、糖尿病和 CVD 危险因素临床指南的采用率。
《尚普兰初级保健 CVD 预防和管理指南》是为在尚普兰地区工作的初级保健临床医生提供的桌面资源。该指南由 45 名以上的当地专家制定，旨在总结 CVD 预防和管理的最新循证策略，并提高对当地基于社区的计划和服务的认识。
有证据表明，在实施具体实践指南时，量身定制的策略很重要。本文描述了创建综合临床指南以改善心血管护理提供的过程。
